Consultation & Referral Services

Pediatrics is here to assist community physicians and specialists with consultation and referral services.

To refer a patient, please complete the form below and fax all related clinic notes and diagnostic reports to the specialty fax number.

If no fax or online referral form is listed, you will need to call the service directly.

  • Adolescent Medicine
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Cardiology
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Endocrinology
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • GI
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Genetics
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Nephrology
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • PM&R/CompCare
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Pulmonary/Sleep Medicine
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600
  • Rheumatology
    • General Fax: 801-587-7539
    • Prescription Refills Fax: 801-213-7600

Patient Information



Or Call 801-213-3599